Roux-en-Y anastomosis: Difference between revisions
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==Operations that make use of a Roux-en-Y== |
==Operations that make use of a Roux-en-Y== |
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* Some [[gastric bypass operation|gastric bypasses]] for [[obesity]]. |
* Some [[gastric bypass operation|gastric bypasses]] for [[obesity]]. |
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* Roux-en-Y reconstruction following partial or complete [[gastrectomy]] for [[stomach cancer]].<ref>Surgery to remove stomach cancer. cancerhelp.org.uk. URL: [http://www.cancerhelp.org.uk/help/default.asp?page=3917 http://www.cancerhelp.org.uk/help/default.asp?page=3917]. Accessed on: February 7, 2008.</ref> |
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* Roux-en-Y [[liver|hepatico]][[jejunum|jejuno]][[stoma|stomy]] used to treat (macroscopic) bile duct obstruction which may arise due to: |
* Roux-en-Y [[liver|hepatico]][[jejunum|jejuno]][[stoma|stomy]] used to treat (macroscopic) bile duct obstruction which may arise due to: |
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** a [[common bile duct]] tumour or [[hepatic duct]] [[tumour]] (e.g. resection of [[cholangiocarcinoma]])<ref>Lawrence PF. Essentials of general surgery. 3rd Ed. Lippincott Williams & Wilkins. 2000. ISBN 0-683-30133-0.</ref> |
** a [[common bile duct]] tumour or [[hepatic duct]] [[tumour]] (e.g. resection of [[cholangiocarcinoma]])<ref>Lawrence PF. Essentials of general surgery. 3rd Ed. Lippincott Williams & Wilkins. 2000. ISBN 0-683-30133-0.</ref> |
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Revision as of 12:12, 23 April 2013
In general surgery, a Roux-en-Y anastomosis, less formally and precisely Roux-en-Y, is a surgically created (end-to-side) anastomosis. Typically, it is between small bowel and small bowel that is distal (or further down the gastrointestinal tract) from the cut end.[1]
Overview
The name is derived from the surgeon who first described it (César Roux)[1] and the stick-figure representation. Diagramatically, the Roux-en-Y anastomosis looks like the letter Y; typically, the two upper limbs of the Y represent (1) the proximal segment of stomach and the distal small bowel it joins with and (2) the blind end that is surgically divided off, and the lower part of the Y is formed by the distal small bowel beyond the anastomosis.
Roux-en-Ys are used in several operations and collectively called Roux operations.[1]
Operations that make use of a Roux-en-Y
- Some gastric bypasses for obesity.
- Roux-en-Y reconstruction following partial or complete gastrectomy for stomach cancer.[2]
- Roux-en-Y hepaticojejunostomy used to treat (macroscopic) bile duct obstruction which may arise due to:
- a common bile duct tumour or hepatic duct tumour (e.g. resection of cholangiocarcinoma)[3]
- a bile duct injury (e.g. cholecystectomy, surgical misadventure, trauma)
- an infection/inflammation (e.g. pancreatic pseudocyst)
- Roux-en-Y choledochojejunostomy - indications same as Roux-en-Y hepaticojejunostomy.
References
- ^ a b c Roux operation. whonamedit.com. http://www.whonamedit.com/synd.cfm/3724.html. Accessed on: February 7, 2008.
- ^ Surgery to remove stomach cancer. cancerhelp.org.uk. URL: http://www.cancerhelp.org.uk/help/default.asp?page=3917. Accessed on: February 7, 2008.
- ^ Lawrence PF. Essentials of general surgery. 3rd Ed. Lippincott Williams & Wilkins. 2000. ISBN 0-683-30133-0.
External links
- Anastomoses - thefreedictionary.com.